BIPIN B BAVISHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051094

License Status

NOT RENEWED

Business

First Name

BIPIN

Middle

Last Name

BAVISHI

Suffix

Business Name

BIPIN B BAVISHI MD

Original Issue Date

06/24/1975

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/14/2021